IDEAS home Printed from https://ideas.repec.org/a/wly/soecon/v82y2016i4p1266-1310.html
   My bibliography  Save this article

Can Changing Economic Factors Explain the Rise in Obesity?

Author

Listed:
  • Charles J. Courtemanche
  • Joshua C. Pinkston
  • Christopher J. Ruhm
  • George L. Wehby

Abstract

A growing literature examines the effects of economic variables on obesity, typically focusing on only one or a few factors at a time. We build a more comprehensive economic model of body weight, combining the 1990–2010 Behavioral Risk Factor Surveillance System with 27 state‐level variables related to general economic conditions, labor supply, and the monetary or time costs of calorie intake, physical activity, and cigarette smoking. Controlling for demographic characteristics and state and year fixed effects, changes in these economic variables collectively explain 37% of the rise in body mass index (BMI), 43% of the rise in obesity, and 59% of the rise in Class II/III obesity. Quantile regressions also point to large effects among the heaviest individuals, with half the rise in the 90th percentile of BMI explained by economic factors. Variables related to calorie intake—particularly restaurant and supercenter/warehouse club densities—are the primary drivers of the results.

Suggested Citation

  • Charles J. Courtemanche & Joshua C. Pinkston & Christopher J. Ruhm & George L. Wehby, 2016. "Can Changing Economic Factors Explain the Rise in Obesity?," Southern Economic Journal, John Wiley & Sons, vol. 82(4), pages 1266-1310, April.
  • Handle: RePEc:wly:soecon:v:82:y:2016:i:4:p:1266-1310
    DOI: 10.1002/soej.12130
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/soej.12130
    Download Restriction: no

    File URL: https://libkey.io/10.1002/soej.12130?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Ruhm, Christopher J., 2005. "Healthy living in hard times," Journal of Health Economics, Elsevier, vol. 24(2), pages 341-363, March.
    2. Richard A. Dunn, 2010. "The Effect of Fast-Food Availability on Obesity: An Analysis by Gender, Race, and Residential Location," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 92(4), pages 1149-1164.
    3. Lakdawalla, Darius & Philipson, Tomas J., 2002. "The Growth of Obesity and Technological Change: A Theoretical and Empirical Examination," Working Papers 174, The University of Chicago Booth School of Business, George J. Stigler Center for the Study of the Economy and the State.
    4. Courtemanche, Charles & Pinkston, Joshua C. & Stewart, Jay, 2015. "Adjusting body mass for measurement error with invalid validation data," Economics & Human Biology, Elsevier, vol. 19(C), pages 275-293.
    5. Dana Goldman & Darius Lakdawalla & Yuhui Zheng, 2011. "Food Prices and the Dynamics of Body Weight," NBER Chapters, in: Economic Aspects of Obesity, pages 65-90, National Bureau of Economic Research, Inc.
    6. Ruhm, Christopher J., 2012. "Understanding overeating and obesity," Journal of Health Economics, Elsevier, vol. 31(6), pages 781-796.
    7. Andrew J. Plantinga & Stephanie Bernell, 2007. "The Association Between Urban Sprawl And Obesity: Is It A Two‐Way Street?," Journal of Regional Science, Wiley Blackwell, vol. 47(5), pages 857-879, December.
    8. James Nonnemaker & Eric Finkelstein & Mark Engelen & Thomas Hoerger & Matthew Farrelly, 2009. "Have Efforts To Reduce Smoking Really Contributed To The Obesity Epidemic?," Economic Inquiry, Western Economic Association International, vol. 47(2), pages 366-376, April.
    9. Courtemanche Charles, 2009. "Longer Hours and Larger Waistlines? The Relationship between Work Hours and Obesity," Forum for Health Economics & Policy, De Gruyter, vol. 12(2), pages 1-33, May.
    10. Janet Currie & Stefano DellaVigna & Enrico Moretti & Vikram Pathania, 2010. "The Effect of Fast Food Restaurants on Obesity and Weight Gain," American Economic Journal: Economic Policy, American Economic Association, vol. 2(3), pages 32-63, August.
    11. Ruhm, Christopher J., 2008. "Maternal employment and adolescent development," Labour Economics, Elsevier, vol. 15(5), pages 958-983, October.
    12. Grossman, Michael & Mocan, Naci (ed.), 2011. "Economic Aspects of Obesity," National Bureau of Economic Research Books, University of Chicago Press, number 9780226310091, September.
    13. Eid, Jean & Overman, Henry G. & Puga, Diego & Turner, Matthew A., 2008. "Fat city: Questioning the relationship between urban sprawl and obesity," Journal of Urban Economics, Elsevier, vol. 63(2), pages 385-404, March.
    14. David M. Cutler & Edward L. Glaeser & Jesse M. Shapiro, 2003. "Why Have Americans Become More Obese?," Journal of Economic Perspectives, American Economic Association, vol. 17(3), pages 93-118, Summer.
    15. Charles Courtemanche & Art Carden, 2014. "Competing with Costco and Sam's Club: Warehouse Club Entry and Grocery Prices," Southern Economic Journal, John Wiley & Sons, vol. 80(3), pages 565-585, January.
    16. Charles L. Baum, 2011. "The Effects of Food Stamps on Obesity," Southern Economic Journal, John Wiley & Sons, vol. 77(3), pages 623-651, January.
    17. Charles Courtemanche, 2011. "A Silver Lining? The Connection Between Gasoline Prices And Obesity," Economic Inquiry, Western Economic Association International, vol. 49(3), pages 935-957, July.
    18. Christopher J. Ruhm, 2000. "Are Recessions Good for Your Health?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 115(2), pages 617-650.
    19. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    20. Courtemanche, Charles & Carden, Art, 2011. "Supersizing supercenters? The impact of Walmart Supercenters on body mass index and obesity," Journal of Urban Economics, Elsevier, vol. 69(2), pages 165-181, March.
    21. Chou, Shin-Yi & Grossman, Michael & Saffer, Henry, 2004. "An economic analysis of adult obesity: results from the Behavioral Risk Factor Surveillance System," Journal of Health Economics, Elsevier, vol. 23(3), pages 565-587, May.
    22. repec:wly:soecon:v:80:3:y:2014:p:565-585 is not listed on IDEAS
    23. Courtemanche, Charles, 2009. "Rising cigarette prices and rising obesity: Coincidence or unintended consequence?," Journal of Health Economics, Elsevier, vol. 28(4), pages 781-798, July.
    24. Sergio Firpo & Nicole M. Fortin & Thomas Lemieux, 2009. "Unconditional Quantile Regressions," Econometrica, Econometric Society, vol. 77(3), pages 953-973, May.
    25. Rashad, Inas, 2006. "Structural estimation of caloric intake, exercise, smoking, and obesity," The Quarterly Review of Economics and Finance, Elsevier, vol. 46(2), pages 268-283, May.
    26. Cawley, John & Ruhm, Christopher J., 2011. "The Economics of Risky Health Behaviors," Handbook of Health Economics, in: Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), Handbook of Health Economics, volume 2, chapter 0, pages 95-199, Elsevier.
    27. Kaushal, N., 2007. "Do food stamps cause obesity?: Evidence from immigrant experience," Journal of Health Economics, Elsevier, vol. 26(5), pages 968-991, September.
    28. John Cawley & John Moran & Kosali Simon, 2010. "The impact of income on the weight of elderly Americans," Health Economics, John Wiley & Sons, Ltd., vol. 19(8), pages 979-993, August.
    29. Charles L. Baum & Shin-Yi Chou, 2011. "The Socio-Economic Causes of Obesity," NBER Working Papers 17423, National Bureau of Economic Research, Inc.
    30. Beydoun, May A. & Powell, Lisa M. & Wang, Youfa, 2008. "The association of fast food, fruit and vegetable prices with dietary intakes among US adults: Is there modification by family income?," Social Science & Medicine, Elsevier, vol. 66(11), pages 2218-2229, June.
    31. Maximilian D. Schmeiser, 2009. "Expanding wallets and waistlines: the impact of family income on the BMI of women and men eligible for the Earned Income Tax Credit," Health Economics, John Wiley & Sons, Ltd., vol. 18(11), pages 1277-1294, November.
    32. Wehby, George L. & Courtemanche, Charles J., 2012. "The heterogeneity of the cigarette price effect on body mass index," Journal of Health Economics, Elsevier, vol. 31(5), pages 719-729.
    33. Inas Rashad & Michael Grossman & Shin-Yi Chou, 2006. "The Super Size of America: An Economic Estimation of Body Mass Index and Obesity in Adults," Eastern Economic Journal, Eastern Economic Association, vol. 32(1), pages 133-148, Winter.
    34. Charles Courtemanche & Garth Heutel & Patrick McAlvanah, 2015. "Impatience, Incentives and Obesity," Economic Journal, Royal Economic Society, vol. 125(582), pages 1-31, February.
    35. Mikael Lindahl, 2005. "Estimating the Effect of Income on Health and Mortality Using Lottery Prizes as an Exogenous Source of Variation in Income," Journal of Human Resources, University of Wisconsin Press, vol. 40(1).
    36. Maoyong Fan, 2010. "Do Food Stamps Contribute to Obesity in Low-Income Women? Evidence from the National Longitudinal Survey of Youth 1979," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 92(4), pages 1165-1180.
    37. Tomas J. Philipson & Richard A. Posner, 1999. "The Long-Run Growth in Obesity as a Function of Technological Change," Working Papers 9912, Harris School of Public Policy Studies, University of Chicago.
    38. Koenker, Roger W & Bassett, Gilbert, Jr, 1978. "Regression Quantiles," Econometrica, Econometric Society, vol. 46(1), pages 33-50, January.
    39. Emek Basker & Michael Noel, 2009. "The Evolving Food Chain: Competitive Effects of Wal‐Mart's Entry into the Supermarket Industry," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 18(4), pages 977-1009, December.
    40. Meyerhoefer, Chad D. & Pylypchuk, Vuriy, 2008. "AJAE Appendix: Does Participation in the Food Stamp Program Increase the Prevalence of Obesity and Health Care Spending?," American Journal of Agricultural Economics APPENDICES, Agricultural and Applied Economics Association, vol. 90(2), pages 1-6.
    41. Zhuo Chen & Steven T. Yen & David B. Eastwood, 2005. "Effects of Food Stamp Participation on Body Weight and Obesity," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 87(5), pages 1167-1173.
    42. Michael L. Anderson & David A. Matsa, 2011. "Are Restaurants Really Supersizing America?," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 152-188, January.
    43. Anderson, Patricia M. & Butcher, Kristin F. & Levine, Phillip B., 2003. "Maternal employment and overweight children," Journal of Health Economics, Elsevier, vol. 22(3), pages 477-504, May.
    44. Darius Lakdawalla & Tomas Philipson & Jay Bhattacharya, 2005. "Welfare-Enhancing Technological Change and the Growth of Obesity," American Economic Review, American Economic Association, vol. 95(2), pages 253-257, May.
    45. Zhao, Zhenxiang & Kaestner, Robert, 2010. "Effects of urban sprawl on obesity," Journal of Health Economics, Elsevier, vol. 29(6), pages 779-787, December.
    46. Jerry Hausman & Ephraim Leibtag, 2009. "CPI Bias from Supercenters: Does the BLS Know that Wal-Mart Exists?," NBER Chapters, in: Price Index Concepts and Measurement, pages 203-231, National Bureau of Economic Research, Inc.
    47. Charles L. Baum, 2009. "The effects of cigarette costs on BMI and obesity," Health Economics, John Wiley & Sons, Ltd., vol. 18(1), pages 3-19, January.
    48. Ver Ploeg, Michele & Mancino, Lisa & Lin, Biing-Hwan & Wang, Chia-Yih, 2007. "The vanishing weight gap: Trends in obesity among adult food stamp participants (US) (1976-2002)," Economics & Human Biology, Elsevier, vol. 5(1), pages 20-36, March.
    49. Cawley, John & Meyerhoefer, Chad, 2012. "The medical care costs of obesity: An instrumental variables approach," Journal of Health Economics, Elsevier, vol. 31(1), pages 219-230.
    50. Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), 2011. "Handbook of Health Economics," Handbook of Health Economics, Elsevier, volume 2, number 2.
    51. Gruber, Jonathan & Frakes, Michael, 2006. "Does falling smoking lead to rising obesity?," Journal of Health Economics, Elsevier, vol. 25(2), pages 183-197, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Cristina Bellés‐Obrero & Sergi Jiménez‐Martín & Judit Vall‐Castello, 2016. "Bad Times, Slimmer Children?," Health Economics, John Wiley & Sons, Ltd., vol. 25(S2), pages 93-112, November.
    2. Courtemanche, Charles & Pinkston, Joshua C. & Stewart, Jay, 2015. "Adjusting body mass for measurement error with invalid validation data," Economics & Human Biology, Elsevier, vol. 19(C), pages 275-293.
    3. Charles Courtemanche & Art Carden & Xilin Zhou & Murugi Ndirangu, 2019. "Do Walmart Supercenters Improve Food Security?," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 41(2), pages 177-198, June.
    4. Cawley, John, 2015. "An economy of scales: A selective review of obesity's economic causes, consequences, and solutions," Journal of Health Economics, Elsevier, vol. 43(C), pages 244-268.
    5. Christopher Carpenter & Sebastian Tello-Trillo, 2015. "Do 'Cheeseburger Bills' Work? Effects of Tort Reform for Fast Food," Journal of Law and Economics, University of Chicago Press, vol. 58(4).
    6. Morales, Leonardo Fabio & Gordon-Larsen, Penny & Guilkey, David, 2016. "Obesity and health-related decisions: An empirical model of the determinants of weight status across the transition from adolescence to young adulthood," Economics & Human Biology, Elsevier, vol. 23(C), pages 46-62.
    7. Michael Grossman, 2016. "‘A Theory of the Allocation of Time’ Turns Fifty: Its Impact on the Field of Health Economics," Health Economics, John Wiley & Sons, Ltd., vol. 25(1), pages 3-7, January.
    8. Harris, Matthew C., 2017. "Imperfect information on physical activity and caloric intake," Economics & Human Biology, Elsevier, vol. 26(C), pages 112-125.
    9. Faqin Lin & Rui Wang & Yutong Lv & Feng Kuo, 2023. "Weight gains from multinational fast‐food restaurants: Evidence from China," Agribusiness, John Wiley & Sons, Ltd., vol. 39(S1), pages 1535-1558, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Charles Courtemanche & Garth Heutel & Patrick McAlvanah, 2015. "Impatience, Incentives and Obesity," Economic Journal, Royal Economic Society, vol. 125(582), pages 1-31, February.
    2. Courtemanche, Charles & Tchernis, Rusty & Ukert, Benjamin, 2018. "The effect of smoking on obesity: Evidence from a randomized trial," Journal of Health Economics, Elsevier, vol. 57(C), pages 31-44.
    3. Wehby, George L. & Courtemanche, Charles J., 2012. "The heterogeneity of the cigarette price effect on body mass index," Journal of Health Economics, Elsevier, vol. 31(5), pages 719-729.
    4. Cawley, John, 2015. "An economy of scales: A selective review of obesity's economic causes, consequences, and solutions," Journal of Health Economics, Elsevier, vol. 43(C), pages 244-268.
    5. Courtemanche, Charles & Carden, Art, 2011. "Supersizing supercenters? The impact of Walmart Supercenters on body mass index and obesity," Journal of Urban Economics, Elsevier, vol. 69(2), pages 165-181, March.
    6. Courtemanche, Charles & Pinkston, Joshua C. & Stewart, Jay, 2015. "Adjusting body mass for measurement error with invalid validation data," Economics & Human Biology, Elsevier, vol. 19(C), pages 275-293.
    7. Georgia S. Papoutsi & Andreas C. Drichoutis & Rodolfo M. Nayga Jr., 2013. "The Causes Of Childhood Obesity: A Survey," Journal of Economic Surveys, Wiley Blackwell, vol. 27(4), pages 743-767, September.
    8. Dragone, D. & Ziebarth, N.R., 2015. "Non-Separable Time Preferences and Novelty Consumption: Theory and Evidence from the East German Transition to Capitalism," Health, Econometrics and Data Group (HEDG) Working Papers 15/28, HEDG, c/o Department of Economics, University of York.
    9. Dragone, Davide & Ziebarth, Nicolas R., 2017. "Non-separable time preferences, novelty consumption and body weight: Theory and evidence from the East German transition to capitalism," Journal of Health Economics, Elsevier, vol. 51(C), pages 41-65.
    10. Courtemanche, Charles & Carden, Art, 2009. "The skinny on big box retailing: Wal-Mart, warehouse clubs, and obesity," MPRA Paper 25326, University Library of Munich, Germany.
    11. Charles L. Baum & Shin-Yi Chou, 2016. "Why has the prevalence of obesity doubled?," Review of Economics of the Household, Springer, vol. 14(2), pages 251-267, June.
    12. Dragone, Davide & Ziebarth, Nicolas R., 2015. "Economic Development, Novelty Consumption, and Body Weight: Evidence from the East German Transition to Capitalism," IZA Discussion Papers 8967, Institute of Labor Economics (IZA).
    13. Nathalie Mathieu‐Bolh, 2022. "The elusive link between income and obesity," Journal of Economic Surveys, Wiley Blackwell, vol. 36(4), pages 935-968, September.
    14. Pieroni, L. & Salmasi, L., 2014. "Fast-food consumption and body weight. Evidence from the UK," Food Policy, Elsevier, vol. 46(C), pages 94-105.
    15. John Cawley & Davide Dragone & Stephanie Von Hinke Kessler Scholder, 2016. "The Demand for Cigarettes as Derived from the Demand for Weight Loss: A Theoretical and Empirical Investigation," Health Economics, John Wiley & Sons, Ltd., vol. 25(1), pages 8-23, January.
    16. Buttet, Sebastien & Dolar, Veronika, 2015. "Toward a quantitative theory of food consumption choices and body weight," Economics & Human Biology, Elsevier, vol. 17(C), pages 143-156.
    17. Barone, Adriana & O'Higgins, Niall, 2010. "Fat and out in Salerno and its province: Adolescent obesity and early school leaving in Southern Italy," Economics & Human Biology, Elsevier, vol. 8(1), pages 44-57, March.
    18. Alois Stutzer & Armando N. Meier, 2016. "Limited Self‐control, Obesity, and the Loss of Happiness," Health Economics, John Wiley & Sons, Ltd., vol. 25(11), pages 1409-1424, November.
    19. Barbaresco, Silvia & Courtemanche, Charles J. & Qi, Yanling, 2015. "Impacts of the Affordable Care Act dependent coverage provision on health-related outcomes of young adults," Journal of Health Economics, Elsevier, vol. 40(C), pages 54-68.
    20. Courtemanche, Charles & Pinkston, Joshua C. & Stewart, Jay, 2021. "Time spent exercising and obesity: An application of Lewbel’s instrumental variables method," Economics & Human Biology, Elsevier, vol. 41(C).

    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:soecon:v:82:y:2016:i:4:p:1266-1310. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1002/(ISSN)2325-8012 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.